Surgical consultation Colectomie Right
The surgeon digestive explained you holding them and the outcomes of the right colectomy which is necessary in your case
The operational date was scheduled.
right colostomy = information useful to know
An appointment near the anaesthetists was agreed (think of filling out the medical questionnaire for our fellow-members)
A regulation d’ORAL IMPACT will be delivered to you: to begin 7 days before the intervention. This oral supplementation is a drug the purpose of which is to decrease the operational complications post, by increasing your immunizing defenses. • In the event of laparotomy, a belt of abdominal application will be prescribed to you (think of bringing it the day of the intervention)
An enlightened assent: to supplement, sign and give before the hospitalization.
An estimate if going beyond fees: To send to your mutual insurance company (preliminary agreement for refunding). ◦
An invoice will be given to you to your exit, allowing you refunding by your mutual insurance company.
A form to book a particular room or a single room. The particular room can be proposed only according to the places available.
Right intervention day before of Colectomie
You will be hospitalized (E) the day before intervention around 4 p.m. with the private clinic and will be accommodated (E) by ancillary medical staff
Need for making the administrative entrance with the service ADMISSION and after you Go up in the service where you will be accommodated (E) by the nurse.
To specify with L ` nurse your wish to be transferred (E) secondarily in Convalescent home, following your hospitalization, before turning over definitively to your residence.
Not to forget to check with it the phone number of the trustworthy person, with whom the surgeons will be able to discuss.
To give to the nurse your file of entry, the lit assent, results of blood and morphological examinations, the belt of application in the event of laparotomy
Visit of the anaesthetists and the surgeons
Shower disinfectant (discussion with auxiliary nurse).
Meal the evening, then with jeun as from midnight.
In the absence of operational pre coloscopy, no purging, nor rectal injection will be proposed to you
Surgical unit the following day in the course of the day.
The intervention of colectomy and your hospitalization with the private clinic
The intervention of the colectomy hard Right approximately of 1 a.m. 1? 2 to 3 a.m. This intervention is carried out under general anaesthesia.
Rachis anaesthesia will be proposed to you: they are anaesthetic injections, directly on the level of the spinal column. The rachis anaesthesia make it possible to decrease any operational pain post.
This one is often proposed, in the case of right colectomy by laparotomy.
During the intervention, he will be set up a perfusion, that is to say by peripheral way or center lane, as well as a urinary probe by way naturale or known pubic (= we prefer the cystocath at the men)
In post operational, you will be awaked (E) in recovery room, then secondarily transferred (E): in the surgery department or the service of intensive care surgical.
Your intensive passage in care will be determined by the surgeon and the anaesthetist: this stay makes it possible to carry out a better monitoring, and thus to regulate, as soon as possible, a possible complication. You will be thus under monitoring monitoring (pulse, tension, heart rate, temperature, diuresis and assessment).
Concerning the information of the families, will know that the surgeon is at your disposal the evening after the consultation every afternoon.
The evening of your intervention, you will remain with jeun, with drugs, against the pain, managed by venous way and/or rachis anaesthesia
The following days, after agreement of the surgeon, you will be, transferred (E) that is to say in your room alone (or double).
The food will be carried out gradually and the treatments will be managed by the mouth.
A prevention of the phlebites and gastric protection will be systematic.
Exit of the Private clinic after Colectomie right
In the event of return to residence, you will leave the private clinic, at the end of the morning
A report of hospitalization (+ operational report) will be systematically addressed to your attending physician and all to the correspondents (gastro-enterologist, cancer specialist…).
Exit of the Private clinic
Ordinances of analgesics and Heparin with low molecular weight (HBPM) in order to avoid any secondary phlebitis and pulmonary embolism
An ordinance of nurse in residence, for the injections of Heparin and possible local care.
A sick leave will be given to you if necessary. You will thus have at disposal
A belt of application, in the event of surgery by laparotomy.
An appointment with the surgeon
It is recommended to you to go, to avoid the wearing of heavy load.
The showers are authorized as of the return to residence, in the absence of local care, on the level of the wall.
It will be necessary to wait about fifteen days for the catch of baths out of fresh water or swimming pool.
With regard to the food, it no specific scheme to be envisaged there, but it is necessary to adapt the food according to the transit namely: good hydration, fruit and vegetables if constipation; pastes and rice if diarrhoea.
Indeed, you will have the transit disturbed during 3 to 4 months.
In the event of transfer in convalescent home, all the medical documents will be directly transmitted to the structure concerned.
In any event, will know that in the event of carcinological surgery, your dossier will be presented and discussed in multidisciplinary meeting with surgeons, radiologists, gastroenterologists and cancer specialists
According to the histological result of the operational part, a possible chemotherapy will be proposed to you.
|info colectomie droite dr Vincenzo Salsano dernière mise à jour Novembre 2016